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General NPI Number Information
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NPI Number | 1962569228
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Entity Type | Individual
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Provider Name | LEON YAN MD
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Gender | Male
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 04/11/2023
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Provider Practice Location Address
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Address Line | 29995 TECHNOLOGY DR UNIT A100
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City | MURRIETA
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State | CA
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Zip | 92563-2632
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Country | US
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Telephone | 951-412-1610
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Fax |
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Provider Business Mailing Address
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Address Line | 30632 RIDGECREST RD
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City | WINCHESTER
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State | CA
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Zip | 92596-3506
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Country | US
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Telephone | 760-851-6740
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A80360
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License Number State | CA
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